Individual
DR. MICHAEL TODD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5949 E MAIN ST, COLUMBUS, OH 43213-3353
(614) 367-9355
(614) 501-6481
Mailing address
5949 E MAIN ST, COLUMBUS, OH 43213-3353
(614) 367-9355
(614) 501-6481
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107628
—
OH
Enumeration date
03/23/2007
Last updated
04/14/2008
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